Beruflich Dokumente
Kultur Dokumente
1. Assistant Professor,
2. Associate Professor and HOD,
Dept. of Rognidan and Vikriti Vigyana, APM’s Ayurved Mahavidyalaya,
Sion, Mumbai- 400022, Maharashtra
*Corresponding Author: drpaikrao@gmail.com 9922577551
parikhsa which explains not only the Mutra, mal vayu, sweda[3] . Dhatu mala
methods of clinical examination but also are formed during process of dhatupaka in
some laboratory investigations. Beside this which seven types of dhatwagni acts on
he has narrated a special technique of urine the sara rasa and respective dhatues are
examination i.e. Tail Bindu Pariksha formed along with their respective Dhatu
which is used to knowing the prognosis of mala. According to Charakacharya they
the disease from samhita kala. Mutra are eight[4] and according to Sharangdhar
pariksha is not described in brihattrayi Samhita they are seven[5] . To perform a
systematically, scattered references are mutra pariksha vidhi shadvidha pariksha
available in relation with purvarupa, rupa, of sushruta (prashne, chakshu, sparsh,
updrava, arishta laxnas of different shrotra, ghran, rasana prakisha) can be
vyadhies and in description regarding the applied[6].
physiological state of the body. Hence this
study endeavors to elaborate the mutra Formation of Mutra:
pariksha vidhi with an Ayurvedic Mala are formed in the large intestine.
perspective. Jatharagni acts on the ahara dravya and
Aim: To Study the mutra pariksha vidhi then they are digested in to sara and kitta.
with an Ayurvedic perspectives. Absorbable part is sara and non absorbable
part is kitta. Seven types of jatharagni and
Objectives: panch mahabhutagni acts on the sara rasa
and then respective types of dhatues are
1. To evaluate the methods of mutra formed along with their respective
parkisha with an ayurvedic dhatumala. Non absorbable part of food
perspectives. material i.e. kitta from which the solid part
2. To elaborate the till bindu pariksha is purisha is expelled out from the body by
explained by the Yogratnakara. the purishvaha srotas. liquid part which is
1. To evaluation of the mutra goes to the mutravaha srotas where it is
pariksha as a diagnostic and called mutra. This concept of formation of
prognostic tool. sara and kitta from digested food after
Material and Method: action of agni also applicable to
dhatupaka[7].
Conceptual and relevant references are
taken from Ayurved samhita. After Properties of Normal urine (Samanya
studying the related concepts, the efforts mutra guna):
has been made for a conclusion which Acharya charaka has told the
based on discussion. predominance of the aap mahabutbhava in
Literature review: the urine. According to
ashtangsangrahakara mutra is the seat of
Mala are the waste material that are the kapha. Rasa of normal urine is
excreted out of the body, it is a byproduct kshara(alkaline), tikshna, lavana(salt)
of the metabolic activities in the body. rasa[8] and resembles as a kupa jala (well
Mala are classified in to two i.e. Annamala water) [9] which have a clear and
and dhatu mala. Annamala are Purish, transparent appearance when there is a
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equilibrium of dosha and dhatu is present. Dosha prabhava Mutra varnadi guna
Acharya sushruta while explaining prameh on mutra
nivriti laxans has mentioned that Vata dosha Pandur varna
anavilata(clean), appicchilata(non slimiy), Pitta dosha Rakta varna
visada(clear), tikta (bitter), katu(pungent) Kapha dosha Safen
of mutra represents the arogya[10] . Mutra Vat prakopa Nilam , ruksha
Pitta prakopa Pita, aruna, tailasam
praman is four anjali[11]. Prabhuta
Kapha prakopa Snigdha, kamal jal tulya
mutrata is mentioned in prameha samanya
Rakta prakopa Ushna, Rakta varna
laxanas[12] indicates the poly urea which
Pitt vata prakopa Dhumjalbh(dhum-mishrit
has a diagnostic importance in prameha.
jal sam), ushna,
1. Mutra Prashne pariksha: Vata kapha Shwet varna,
prakopa budbudabham(water
Vaidya must take proper history regarding bubbles)
micturation by friendly and caring attitude Kapha pitta Rakta varna,
with patient. The complaint related to prakopa Avilata(turbid)
urination should be noted properly. Sannipatik Mishra varna , jeernajwar
prakopa sadrush pitam
Questions should be asked about urinary
flow, vedana(pain) during urination,
Avrodhajanaya mutrapravruti (obstruction Mutra varna Pariksha in different
in urinary flow), Mutra praman(volume), vyadhi:
ahoratra and ratri vegsankhya
Shukla varna of mutra is mention in
(frequency), Naktamutrata(nocturnal
udakmeha, pishtameh and kaphaj pandu.
polyurea), mutradaha and abnormal
Krishna varna mutra fouds in kalameha,
constituents in the urine etc. If there is
kumbh kamla. Haridra varna mutra is
previous or present history of ashmari,
explained in pitta mutrakriccha, kamla,
mutrakriccha, mautraghata, prameha, yon
and pitvarn of mutra fouds in pittaj pandu.
sankaramak roga etc should be taken in
Neel varna mutra is a diagnostic feature of
consideration.
the neelameh. Rakta varna of mutra is a
2.Mutra Chakshu Pariksha: feature of ashmari, mutrasangh and rakta
meha[14] [15].
Mutra should examine in the natural light
after sunrise for appearance(bhasmodaka, Mutra varna Vyadhi
gorochana, shankhchurnavata) varna, Shukla Udakameha, pishtameha,
kaphaj pandu
accha, avil, anavil,rakta puya, varna.
Krishna Kalameh, kumbh kamla,
Mutra pariksha for Dosha and Haridra Pitta Mutrakriccha,
doshaprakop: kamla, ushnavata
mutraghata.
The normal appearance of the mutra is Pita Pitta pandu
clear and transparent. It may be altered due Neel Neelameh
to dosha prabhava, doshaprakopa and Rakta Ashmari, mutrasanga,
vyadhi vishesh[13]. raktameh.
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method of examination mutra which have Prognosis disease can be identify on the
a great prognostic value in ayuveda. basis of direction of the movement of tail
bindu on the surface of the mutra [28] .
Collection of mutra for examination:
Vaidya should collect the mutra of the Direction of Sadhyasadhy
patient for mutra pariksha vidhi before Movement/spread of tail ata
four ghatika in the last yama of the bindu (prognosis)
ratri(night). Addyadhara (initial urinary of the vyadhi
flow) of the mutra should be discarded and Purva/Paschim/Uttara/Da Sukh
mutra from madhyadhara of the patient kshin Sadhya(curab
should collected in a kanch patra(glass le)
dish), kansya patra(bronz dish), mrutta Eshanya Death within
patra (earthan dish) [25]. one month
Agneya/Nairutya Immediate
Method: Mutra pariksha vidhi should be
death of the
carried out after the sunrise in a natural
patient
light on a vidhivata collected urine sample.
Vayavya Bad
Mutra should be taken in a kanch
prognosis
patra(glass dish) or kansya patra(bronz
Involvement of the dosha in the samprapti
dish) or mrutta patra (earthan dish) in a
of vyadhi can be identify by tail bindu
sufficient amount. A drop of till taila is
pariksha it is as follows[29] .
dropped in mutra with the help of trin
kashta on the surface of the urine. Then the Shape of the tail Dosha involved in
movement and the behavior of the taila bindu samprapti
bindu is observed[26]. Sarpakara (snake) Vata
Prognosis on the basis of movement of Chatrakara Pitta
the tail bindu: If the taila bindu spreads (umbrella)
immediately then vyadhi is sadhya(disease Mukta (pearl) Kapha
is curable), If the tailbindu does not
speads then vyadhi is Prognosis based on different shape of tail
kashtasadhya(difficult to treat), if the bindu is as follows, If the shape of the tail
tailbindu sink to bottom then is bindu appears as a Hala(axe),
asadhya(incurable) [27]. kurma(tortoise), sairibha(bufallow), Krand
Movement of the Sadhyasadhyata mandala(honey comb), shiroheena
tailbindu nara(head less human body), shastra,
Spreads Sadhya khadga(sword), sara(arrow), gatra
immediately vyadhi(curable) khanda(body part), mashala patti(spear
with masoor dal shape age), laguda(stick)
Dose not spread Kashtasadhya
and trichatuspata indicate asadhyata of the
vyadhi(difficult to
vyadhi.
treat)
Sink to bottom Asadhya If the shape of the tail bindu
vyadhi(incurable) appears as hans(swan), karanda(duck),
tadoga (dark green pumpkin), kamala
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(lotus), gaja (elephant), Chamara (fan pathological state and in relation with
made up of bas grannies used for fly-flap) purvarupa and rupa of some diseases.
chatra (umbrella), torana (ornamental samhita. In samhita kala mutra pariksha
door arch), harmya (home) indicative of was carried out by pratyakshya and
the sadhya vyadhi. anuman praman.
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Cite article:
A review on mutra pariksha (urine examination) by Ayurvedic perspective.
Sanjay G. Paikrao, Arun S. Dudhamal
Ayurlog: National Journal of Research in Ayurved Science- 2018; (6)(7): 1-9
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